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Student Registration Form
Please register your interest and leave any comments for the team to pick and contact you.
Is the Student 18 years of age or older?
Yes
No
Are you the Parent/Gaurdian of the Student?
Yes
No
Parent/Guardian First Name
Parent/Guardian Surname
Parent/Guardian Phone Number
Parent/Guardian Phone Email
Students First Name
Students Surname
Students E-mail
Student Phone Number
Students Age
Dhol Experience
Do you have your own Dhol?
Yes
No
Do you give your permission for posting video and photographic material, taken during lessons and events, on Social Media and the Company Website?
Yes
No
Emergency Contact Name
Emergency Phone Number
Comments
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